| NPI | 1912166455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAUGHN P WITT Owner 361-241-9357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: TX 02183TG) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |